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Article Type

Original Study

Abstract

Introduction Repair of mitral and aortic valve in double valve regurgitation is an attractive alternative to replacement, because of low incidence of valve-related complications. Standardization, reproducibility, and stable results are the three key points that will make any valve repair an established form. This study was undertaken to determine the short-term results of double valve repair for double regurgitation. Patients and methods Twenty-six patients had a double valve repair for aortic and mitral valve regurgitation. The mean age was 37.75 (14–53) years. There were 11 (42.3%) men and 15 (57.7%) women. The mean aortic cross-clamp time was 112 (86–135) min and cardiopulmonary bypass time was 145 (120–165) min. In aortic valve repair: subcommissural annuloplasty was done in all 26 patients, leaflet plication in six (23.1%), and pericardial patch extension in four (15.4%) patients. In mitral valve repair: Ring annuloplasty was done in all the 26 patients, quadrangular resection in four (15.4%), and triangular resection in two (7.7%) patients. Concomitant procedures were done in 10 (38.5%) patients with DeVega in seven (26.9%) patients and Maze in three (11.5%) patients. Results There was mortality during hospital stay or during the follow-up. New York Heart Association class was less than or equal to II. At discharge, no patient had AR greater than +2 or MR greater than +1. After 5 years, AR was less than or equal to +2 in 23 (88.5%) patients while MR less than or equal to +1 in 24 (92.3%) patients. There was no valve-related morbidity in the form of bleeding, endocarditis, or thromboembolism. Recurrent aortic regurgitation was in three (11.5%) patients. Reoperations in the form of aortic valve replacement were in two (7.7%) patients. Conclusion Double valve repair should be reserved for the young, women of child-bearing age, and patients with chronic renal failure due to excellent survival and freedom from valve-related morbidity with short-term results.

Keywords

Annuloplasty, double valve repair, pericardial, plication, resection, subcommissural annuloplasty

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